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Insulin Pharmacology and Conversion • Conversion of U-100 to U-500 Insulin • Inpatient Intravenous to subcutaneous
Insulin Pharmacology ... U-100 to U-500 Insulin ... subcutaneous (s/c) insulin ... Intermediate Acting Insulins ... @DharSaty #Insulin
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... Fluids Shift potassium ... intracellularly: • Insulin ... Sodium bicarbonate Potassium ... Hyperkalemia #management #potassium
Insulin Comparison Chart Insulin Types - Onset (hours) - Peak Glycemic Effect (hours) - Duration (hours) •
Insulin Comparison ... Chart Insulin ... • Combination Insulins ... Lispro, NPH + Insulin ... Kfischer_10 #Insulin
Hyperkalemia Management Membrane Stabilizers: • Calcium gluconate Shifters: • Insulin + glucose • Albuterol Excreters: • Furosemide • Sodium
gluconate Shifters: • Insulin ... Management #Treatment #Potassium
Insulin Dosing Basics - Initiating Insulin for T2DM and Converting Insulin Products Insulin dosing can be
Insulin Dosing Basics ... - Initiating Insulin ... and Converting Insulin ... Products Insulin ... initiate basal insulin
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
K+ into cells: Insulin ... Algorithm #causes #potassium
Hypoglycemia Workup and Differential Diagnosis Workup: • Sulfonylurea Labs • Anti-lnsulin Ab - Insulin Autoimmune Syndrome •
Sulfonylurea Labs • Anti-lnsulin ... Ab - Insulin Autoimmune ... Serum glucose, Insulin ... Sulfonylurea Misuse • Insulin ... Misuse • Insulin
Sulfonylureas - Pharmacology Summary Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
ATP-sensitive potassium ... cells, triggering insulin
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
incongruous with clinical ... safely, whereas potassium ... Enteral potassium ... Intravenous potassium ... Internet Book of Critical
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Redistribution - Insulin ... Diagnosis #Low #Potassium
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